我的宝贝，我的行动+：一项社区产前健康干预措施的可行性

My Baby, My Move+: feasibility of a community prenatal wellbeing intervention.

作者信息

Leiferman Jenn A, Lacy Rachael, Walls Jessica, Farewell Charlotte V, Dinger Mary K, Downs Danielle Symons, Farrabi Sarah S, Huberty Jennifer L, Paulson James F

机构信息

Colorado School of Public Health, University of Colorado | Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO, 80045, USA.

Department of Kinesiology, College of Health and Human Development, The Pennsylvania State University, State College, PA, USA.

出版信息

Pilot Feasibility Stud. 2023 Jul 28;9(1):134. doi: 10.1186/s40814-023-01368-1.

DOI:10.1186/s40814-023-01368-1

PMID:37507732

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375613/

Abstract

BACKGROUND

Excessive gestational weight gain (EGWG), insufficient prenatal physical activity and sleep, and poor psychological wellbeing independently increase risks for adverse maternal and infant outcomes. A novel approach to mitigate these risks is utilizing peer support in a community-based prenatal intervention. This study assessed the feasibility (acceptability, demand, implementation, and practicality) of a remotely delivered prenatal physical activity intervention called My Baby, My Move + (MBMM +) that aims to increase prenatal physical activity, enhance mood and sleep hygiene, and reduce EGWG.

METHODS

Participants were recruited through community organizations, local clinics, and social media platforms in the Fall of 2020 and Spring of 2021. Eligible pregnant women were randomized to either the MBMM + intervention or the control group. Each group met over Zoom for 16 sessions (twice weekly for 60 min over 8 weeks) to learn either behavioral change and wellbeing knowledge and skills (MBMM +) or knowledge and skills related to parenting (control group). Multiple methods of evaluation to better understand the feasibility of the intervention were conducted.

RESULTS

A total of 49 women (25 MBMM + intervention, 24 control) completed both pre- and post-survey assessments and were included in the analyses. A subsample of 19 (39%) intervention participants completed a combination of semi-structured interviews/surveys to assess acceptability, demand, implementation, and practicality. Participants expressed positive feedback regarding acceptability (satisfaction and intent to continue use) and were extremely likely or likely to recommend the program to a friend (demand). Implementation metrics were assessed by observation and feedback forms completed by peer leaders and demonstrated high-quality control. Findings suggest that the intervention was practical due to remote sessions and cost-effectiveness.

CONCLUSION

The MBMM + intervention was deemed to be a feasible intervention with high acceptability, demand, implementation, and practicality. These findings can be used to inform the scalability of the intervention and implementation of a larger efficacy trial.

TRIAL REGISTRATION

19-1366, initial date is on January 23, 2020.

摘要

背景

孕期体重过度增加（EGWG）、产前体育活动和睡眠不足以及心理健康状况不佳会独立增加母婴不良结局的风险。一种减轻这些风险的新方法是在基于社区的产前干预中利用同伴支持。本研究评估了一种名为“我的宝贝，我的运动+”（MBMM+）的远程产前体育活动干预措施的可行性（可接受性、需求、实施和实用性），该干预旨在增加产前体育活动、改善情绪和睡眠卫生，并减少孕期体重过度增加。

方法

2020年秋季和2021年春季，通过社区组织、当地诊所和社交媒体平台招募参与者。符合条件的孕妇被随机分为MBMM+干预组或对照组。每组通过Zoom平台进行16次课程（每周两次，每次60分钟，共8周），学习行为改变和健康知识与技能（MBMM+组）或育儿相关知识与技能（对照组）。采用多种评估方法以更好地了解干预措施的可行性。

结果

共有49名女性（25名MBMM+干预组，24名对照组）完成了前后调查评估并纳入分析。19名（39%）干预组参与者的子样本完成了半结构化访谈/调查的组合，以评估可接受性、需求、实施和实用性。参与者对可接受性（满意度和继续使用的意愿）给予了积极反馈，并且极有可能或有可能向朋友推荐该项目（需求）。通过观察和同伴领导者填写的反馈表评估实施指标，结果显示质量控制良好。研究结果表明，由于采用远程课程和成本效益，该干预措施具有实用性。